Individual
CARLOS ENRIQUE HUAUYA LEUYACC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
435 FORT WASHINGTON AVE APT 1C, NEW YORK, NY 10033-3527
(212) 923-0408
Mailing address
12 GOLF RD, BLOOMFIELD, NJ 07003-3119
(201) 823-7425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
324906-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2020
Last updated
08/10/2023
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